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Nasal Leprosy: Impact of Multitherapy in the Morphology and Physiology of the Nose
Lepra nasal: impacto de la multiterapia en la morfología y la fisiología nasal
María Teresa Torres-Larrosaa,
Corresponding author
matetorres@eresmas.com

Correspondence: San Juan Bautista, 16, 1.° A. 38002 Santa Cruz de Tenerife. Tenerife. Islas Canarias. España.
, Luis Jorge Pérez-Péreza, María Vicenta Quintana Ginestarb, Vicente Torres-Perisc, Juan José Artazkoz del Toroa
a Servicio de Otorrinolaringología, Hospital Universitario Nuestra Señora de Candelaria, Tenerife, Spain
b Sanatorio San Francisco de Borja, Fontilles, Alicante, Spain
c Servicio de Dermatología, Hospital Clínico Universitario de Valencia, Valencia, Spain
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        "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">The multi-drug therapy protocol has allowed leprosy patients following this strategy to achieve complete recovery without developing neurotrophic sequelae or deformities&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Objectives To assess the impact of multi-drug therapy on the development of nasal deformities and nasal airway patency&#46;</p> <span class="elsevierStyleSectionTitle">Patients and method</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">In an overall group of 84 patients studied&#44; 38 were treated with a therapy based on a single drug and 22 were treated with multi-drug while 24 subjects formed a control group&#46; Nose morphology was determined by anterior rhinoscopy&#46; Nasal patency and flow resistances were measured by anterior rhinomanometry&#46; The results were compared by using the Anova test for a single variable&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The nasal structures in the group with therapy based on a single drug underwent resorption of bone and cartilage in the structures of the nose and increased flow resistance&#46; In the group receiving the multi-drug protocol&#44; there were no significant morphological alterations and nasal patency and flow resistance remained within normal levels&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The multi-drug therapy is effective in preventing the development of nasal deformities and maintains normal nasal airflow&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Introducci&#243;n</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">El protocolo de terapia combinada ha permitido que los enfermos de lepra tratados seg&#250;n esta estrategia alcancen una curaci&#243;n sin secuelas neurotr&#243;ficas ni deformidades&#46;</p> <span class="elsevierStyleSectionTitle">Objetivos</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Determinar el impacto de la multiterapia en el desarrollo de las alteraciones del esqueleto &#243;seo cartilaginoso y en la funci&#243;n respiratoria nasal&#46;</p> <span class="elsevierStyleSectionTitle">Pacientes y m&#233;todo</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Estudiamos a 84 sujetos&#58; 38 pacientes tratados con monoterapia&#44; 22 pacientes tratados con multiterapia y 24 sujetos control&#46; Exploramos la morfolog&#237;a nasal mediante rinoscopia anterior y la funci&#243;n respiratoria nasal mediante rinomanometr&#237;a anterior activa&#46; En el an&#225;lisis estad&#237;stico se ha utilizado el test ANOVA de un factor&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">En el grupo de monoterapia observamos una reabsorci&#243;n osteocartilaginosa de las estructuras nasales y un aumento de las resistencias nasales&#46; Los pacientes que recibieron multiterapia no presentaron cambios morfol&#243;gicos significativos y la funci&#243;n respiratoria nasal se mantuvo dentro de la normalidad&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">La terapia combinada es eficaz porque previene la aparici&#243;n de deformidades nasales y la insuficiencia respiratoria nasal&#46;</p>"
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